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Regular monitoring and follow-up evaluations are crucial components of managing pernicious anaemia effectively

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Intranasal treatment (via a nasal spray) of B12 is also available through a prescription (Andrs, 2018)

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Where serum B12 results are borderline or do not fit the clinical picture, further tests such as active B12 (holotranscobalamin), methylmalonic acid, or homocysteine may be helpful

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The same review also found that clinical trials show evidence of vitamin B12 injections used for treating low back pain and neuralgia

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